# DR. JONATHAN LUCKING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366889545
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036161715 | IL | Yes |
| 208600000X | Surgery Physician | 25MA10294700 | NJ | — |
| 208600000X | Surgery Physician | ME141153 | FL | — |
| 208C00000X | Colon & Rectal Surgery Physician | ME141153 | FL | — |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 12/22/2022